Provider Demographics
NPI:1578604047
Name:DAN G TUBBS
Entity Type:Organization
Organization Name:DAN G TUBBS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:TUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-945-4700
Mailing Address - Street 1:PO BOX 1417
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-0917
Mailing Address - Country:US
Mailing Address - Phone:330-945-4700
Mailing Address - Fax:330-945-5876
Practice Address - Street 1:911 GRAHAM RD
Practice Address - Street 2:SUITE 66
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-1169
Practice Address - Country:US
Practice Address - Phone:330-945-4700
Practice Address - Fax:330-945-5876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty